Protocol Posters SC to Community Health Centre - NRHM Tripura

ANTENATAL CHECKUP
Registration and Antenatal checkups during pregnancy:
• Necessary for well being of
pregnant woman and foetus
• Help in identifying complications
of pregnancy on time and their management.
• Ensure healthy outcomes for the
mother and her baby
Preferred Time for Antenatal Checkups*
Registration & 1st ANC In first 12 weeks of pregnancy
2nd ANC
Between 14 and 26 weeks
3rd ANC
Between 28 and 34 weeks
4th ANC
Between 36 and term
* Provide ANC whenever a woman comes for check up
FIRST VISIT
• Pregnancy detection test
• Fill up MCH Protection Card & ANC register
• Give filled up MCH Protection Card & Safe Motherhood booklet to the pregnant woman
• Patient’s past and present history for any illness/complications during this or previous pregnancy
• Physical examination (weight, BP, respiratory rate) & check for pallor, Jaundice & oedema
CHECK UP AT ALL VISITS (From 1 st to 4 th )
• Physical examination
• Abdominal palpation for foetal growth, foetal lie and auscultation of Foetal Heart Sound
• Counselling:
- Nutritional Counselling
- Educate woman to recognise the signs of labour
- Recognition of danger signs during pregnancy, labour and after delivery or abortion
- Encourage institutional delivery/ identification of SBA/avail JSY benefits
- Identify the nearest functional PHC/FRU for delivery and complication management
- Pre Identification of referral transport and blood donor
- To convey the importance of breastfeeding, to be initiated immediately after birth
- For using contraceptives (birth spacing or limiting) after birth/abortion
ADVISE
• Laboratory investigations
At SC:
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Haemoglobin estimation
Urine test for sugar and proteins
Rapid malaria test (in endemic areas)
• Give Iron/Folic acid tablets and two doses of TT injection
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At PHC/CHC/FRU:
Blood group, including Rh factor
VDRL, RPR, HBsAg & HIV testing
Rapid malaria test (if unavailable at SC)
Blood sugar( random)
Ministry of Health & Family Welfare
Government of India